retinal deatchment teaching course 2008, prof ingrid kreissig

www.sudhalkareyehospital.health.officelive.com

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Teaching course 2008 at retina Foundation Ahmedabad by Prof. Ingrid Kreissig

Presentation by

Dr. Anand Sudhalkar


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Patient: 1 male:JD Age: 66 years oldComplaints: progressive visual loss over last 2 weeks.

No photopsiaHistory: No H/O trauma

Preop. Findings:R: FC temp VA L: 6/18 -4.0Dsph Nuclear cataracts BE

Fellow eye

Detachment with no break

Detachment with 1 break

Detachment with 2 or several breaks

Lattice

Tears


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Postop. Findings:

Case 1. JD Operation Dr.: Anand Sudhalkar

Cryocoagulation around breaks

11.00 o'clk 5x 3mm radial buckle

4.30o' clk 5 x 3mm radial Buckle

1 month postop. VA

RE FC 10' Cat+++

LE -4.0 6/18 Cat++

Treatment / Operations:


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Compare with preop clinical pictures

Case 1. JD

Radial Sponge


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Case 1. JD Post OP

12. month postop. VA R -1.0 -2.0 110* = 6/18 (IOL). L -4.0 = 6/12 (Phakic)


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Case: 2. Dr. Anand Sudhalkar Patient: male : J.D. Age: 67 yearsComplaints: Sudden loss LE 4 daysHistory: LE psuedophakia 5 months, RE RD 1 year agoPreop. Findings: R 6/18 with -3.0Dsph (IOL) VA L HM



Fellow Eye

Detachment with one break


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2. Preop pictures LE


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case: 2 LE Dr.: Anand SudhalkarTreatment / Operations:

cryocoagulation—8.30 to 10.30 hrs.5x7 mm circumferential silicone buckle— 3 MERSILENE 5/0 mattress suturesAt 1.15hrs. clk 5x4mm radial silicone buckle held by 1 5/0 mersiline mattress suture

R -2.0 -1.0 90*= 6/18 1 month postop. VA L -3.0=6/24


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Case 2. 2 months post op

2 months post op

RE -2.0 -1.0 90*=6/18

LE -2.0 -1.0 180*= 6/18

Segmental Buckle


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Case 2 LE 4 months post op


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Case 3 Dr.: Anand SudhalkarPatient: female Mrs. Jyotsna R. Dave Age: 27Complaints: Sudden Loss of vision LE 2 daysHistory: High Myope BEPreop. Findings: R -17.0 D 6/24VAL Light perception


Detachment with 1 break


Fellow eye


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Case 3: Pre op Retina Pictures


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Segmental 5x7 mm sponge 7 to 10.30 clk hrs

Radial 5x4mm sponges at 2.30 and 5.30 clk hrs.

No SRF Drainage, High IOP Schiotz tonometry Paracentesis, mannitol, diamox

Retina settled after 20 days


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LE

Attached Retina RE

Post op Pictures

Case 3 RE

Inf Radial Buckle

Superior Radial Buckle


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Case 3: Redetachment 2months post op

SRF at Macula

The SRF collected 6 to 10 o’clk, pointing to the Location of slipped hole.


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Case 3: Buckle revisionThe segmental buckle shifted posteriorly, additional cryo done, No SRF drainage

SRF

Inf Radial buckle


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Retina attached after resurgery

Pre op

Post OP

retinal deatchment teaching course 2008, prof ingrid kreissig

Health & Medicine

post op pictures case

break detachment

jd post op

months post op srf

segmental buckle

resurgery pre op post

buckle revision

preop clinical pictures